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AACN PCCN exam : Progressive Care Certified Nursing

PCCN Exam Questions
  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 14, 2026
  • Q & A: 502 Questions and Answers
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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pulmonary21%- Pneumonia
  • 1. Community-acquired
  • 2. Ventilator-associated
- Chronic Respiratory Disorders
  • 1. Asthma management
  • 2. COPD exacerbation
- Pulmonary Embolism
  • 1. Diagnosis and treatment
  • 2. Anticoagulation therapy
- Acute Respiratory Failure
  • 1. ARDS
  • 2. Non-invasive ventilation (BiPAP/CPAP)
  • 3. Mechanical ventilation management
- Respiratory Assessment
  • 1. ABG interpretation
  • 2. Pulse oximetry
  • 3. Chest tube management
Topic 2: Cardiovascular33%- Heart Failure
  • 1. Left vs right heart failure
  • 2. Pharmacological management
  • 3. Acute and chronic HF
- Vascular Disorders
  • 1. Peripheral vascular disease
  • 2. Aortic emergencies
- Structural Heart Disease
  • 1. Valvular disorders
  • 2. Pericardial disease
  • 3. Cardiomyopathies
- Hemodynamic Monitoring
  • 1. Central venous pressure
  • 2. Cardiac output monitoring
  • 3. Arterial lines
- Dysrhythmias
  • 1. Identification and management
  • 2. Pacemakers and ICDs
  • 3. Cardioversion and defibrillation
- Acute Coronary Syndromes
  • 1. Unstable angina
  • 2. Cardiac biomarkers
  • 3. STEMI/NSTEMI management
Topic 3: Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Endocrine
  • 1. Adrenal crisis
  • 2. Thyroid disorders
  • 3. Diabetic emergencies (DKA, HHS)
- Neurology
  • 1. Traumatic brain injury
  • 2. Increased intracranial pressure
  • 3. Seizures and status epilepticus
  • 4. Stroke management
- Gastrointestinal
  • 1. Acute pancreatitis
  • 2. GI bleeding
  • 3. Liver failure
- Hematology
  • 1. DIC (Disseminated Intravascular Coagulation)
  • 2. Sickle cell crisis
  • 3. Blood product administration
- Renal
  • 1. CRRT/Dialysis
  • 2. Electrolyte imbalances
  • 3. Acute kidney injury
Topic 4: Multisystem22%- Multiorgan Dysfunction Syndrome
  • 1. Management strategies
  • 2. Pathophysiology
- Post-operative Care
  • 1. Pain management
  • 2. Complications management
- Sepsis
  • 1. Early recognition and bundles
  • 2. Organ dysfunction
- Trauma
  • 1. Trauma assessment and management
  • 2. Burns
- Palliative/End-of-Life Care
  • 1. Symptom management
  • 2. Goals of care
  • 3. Ethical considerations
- Shock
  • 1. Hypovolemic shock
  • 2. Septic shock
  • 3. Cardiogenic shock
  • 4. Distributive shock

AACN Progressive Care Certified Nursing Sample Questions:

1. In which of the following frameworks for ethical analysis is the emphasis on identifying and prioritizing ethical principles?

A) Principle-based
B) Care-based
C) Utilitarian
D) Duty-based


2. Identifying the problem, gathering data, and clarifying who should make the final decision are steps in which phase of the process of ethical analysis?

A) Implementation
B) Planning
C) Assessment
D) Evaluation


3. Examples of communication barriers that may impact a patient or their family's ability to learn include all of the following except:

A) Patient stability
B) Environmental factors
C) Family anxiety
D) The use of teach-back


4. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include all of the following except:

A) The patient's ventilator circuit should not be routinely changed; change only when visibly soiled or mechanically malfunctioning
B) Periodically drain or discard any condensate that collects in the ventilator tubing
C) Perform daily assessments for readiness to wean; pair spontaneous breathing trials with sedation
D) Do not allow condensate in the ventilator tubing to drain toward the patient


5. In this type of aortic dissection, the original tear begins in the ascending aorta and the dissection extends to the descending aorta:

A) Type IV
B) Type III
C) Type I
D) Type II


Solutions:

Question # 1
Answer: A
Question # 2
Answer: C
Question # 3
Answer: D
Question # 4
Answer: C
Question # 5
Answer: C

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